Murray Rutgers30

From E.T.Net and nrsing-l to Facebook and Twitter:
nurses' changing use of global online communications for
improving healthcare

Peter J. Murray, W. Scott Erdley

Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference

Peter J Murray PhD MSc RN CertEd, FBCS CITP

CEO, International Medical Informatics Association (IMIA)

W Scott Erdley DNS RN

Special Projects Simulation Educational Specialist,
Behling Simulation Center,
University at Buffalo Academic Health Sciences Center

Disclaimer: views expressed are generally personal; and
should not be taken to be any official IMIA view or policy


Content outline/format

Presentation and discussion on following key areas
and others from participant interest/experience:

Looking back – it was 20 years ago today

The 1990s – from text, Telnet and green screens,
to the rise of the Web

The 2000s – from Web 1.0 to Web 2.0 and beyond

Looking forward – what do being 'always on' and
'always online' mean for interaction?


My aim is to agitate
and disturb people.

I’m not selling bread,
I’m selling yeast.

Miguel de Unamuno, writer and philosopher (1864-1936)


The early 1990s


The early 1990s

Listservs:
- launched 1991 - Nrsing-l, the first listserv solely devoted
to nursing informatics

- others, eg NURSENET, NURSE-UK

Mainly email-based interactions

The (very) early Web - the limitations of slow, text-based
browsing

Example: Virtual Nursing College (Jack Yensen, Canada),
1993

Nrsing-l

- the first listserv solely devoted to nursing informatics
- the first nursing listserv (with global membership)

- launched in 1991
- mid to late 1990's had >1500 members

- topics covered wide range of nursing IT issues from
training to systems support


Nrsing-l

- founded by Gordon Larrivee

(Photo from NI94 – in Linda Goodwin's NI history at
http://www.duke.edu/~goodw010/SAVE_HxFiles/NI-Hx/NIhistory.html)

- Scott Erdley took over late 1990s
- hosted via AMIA NIWG from 1999

- list retired in early 2012 due to low levels of use

- archives available for research via
scott.erdley@gmail.com

The early 1990s

Tim Berners-Lee at his desk at CERN in 1994. On Aug. 6, 1991, the
physicist and engineer invited participants in a Usenet discussion group to
access the first-ever publicly accessible Web server hosted by his
employer, the CERN research center in Geneva.

The day marked the beginning of the World Wide Web as we know it today.


Early browser screenshot - © Board of Trustees of the University of Illinois
http://www.computerhistory.org/revolution/the-web/20/388/2129


What if the technology had not changed?


The mid to late 1990s

Growth of World Wide Web

Commercial Internet Service Providers

Access increasing outside academic settings

Nursing moves onto the Web, but continuation of
listserv discussions and other newer forums


My interest in nurses’ use of CMC
(computer-mediated communications)
MSc research 1993-95 (discourse analysis of NURSENET
list; what was said, how, why, by whom)

PhD research 1995-2001 (reflection on practice in informal
list discussions)

Evidence of some interactions, discussions around and
reflection on practice issues.

Many lurkers/readers, few frequent and consistent active
contributors to discussions.


My interest in nurses’ use of CMC
(computer-mediated communications)

Moved more to use/development of online communities of
practice and virtual interaction around conferences (eg via
blogs)

What more/different could be offered?

Collaborative models of blogging (international group) and
readership – virtual participation in events.

Latterly, more use of Twitter than blogs (many archived).


Into the 2000s – the growth of interaction(?)

Blog (weblog) - emergence and growth of blogs in the
late 1990s coincided with the advent of web-based
publishing tools that facilitated the posting of content
by non-technical users
- term coined late 1997 – widely used from around
2002/03.

Web 2.0 – coined late 2004
Twitter – launched July 2006
Facebook – launched 2004
LinkedIn – launched 2003


Where are we today?

Social media growth

Smartphones and tablet devices

The move to mobile

A golden age of communication and interaction – or
not?


Claims for social media and Web 2.0:
Applications will provide benefit to the international health,
biomedical and nursing informatics communities

- will allow users to interact with a dynamic, multimedia, and
engaging Web platform

- will foster interaction, communities, etc.

- will change the way we work

- will change healthcare, medicine,
nursing, informatics, etc.


The 1% Rule

The 1% rule - if you get a group of 100 people online
then one will create content, 10 will "interact" with it
(commenting or offering improvements) and the other
89 will just view it.

How much is REALLY interaction via social media, as
opposed to continuing to broadcast/consume?

- is this a real problem/dichotomy?


http://www.ihealthbeat.org/data-points/2012/
what-social-media-websites-are-health-care-providers-using-for-professional-networking.aspx


Which do you use? - and why?

There are multiple/duplicate channels

Often many used for same purposes - eg reposting
from Twitter to Facebook or vice versa


Observations over the years (from Scott)

A few thoughts:

- Initial communication was either receive (aka 'listserv') or go
get (BBS)

Listserv - user passivity
BBS - user active

Now: social media
Twitter, FB, de.li.ci.ous, etc.
User activity req'd to make work
Frequent lurkers as well (aka 'passivity')

Not much has changed - just the tools


The challenge is not only to anticipate
the future, but to create it

Motto of Institute for Alternative Futures


http://thecourse.webicina.com

Please feel free to follow up with us

peterjmurray@gmail.com

@peterjmurray

scott.erdley@gmail.com

@scotterdley

Final version of presentation:

www.slideshare.net/drpeter/rutgers30


Murray Rutgers30

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